SITUATION : Epidemiology and Vital statistics is a very important tool that a nurse could use in controlling the spread of disease in the community and at the same time, surveying the impact of the disease on the population and prevent it’s future occurrence.

1. It is concerned with the study of factors that influence the occurrence and distribution of diseases, defects, disability or death which occurs in groups or aggregation of individuals.

A. EpidemiologyB. DemographicsC. Vital StatisticsD. Health Statistics

2. Which of the following is the backbone in disease prevention?

A. EpidemiologyB. DemographicsC. Vital StatisticsD. Health Statistics

3. Which of the following type of research could show how community expectations can result in the actual provision of services?

4. An outbreak of measles has been reported in Community A. As a nurse, which of the following is your first action for an Epidemiological investigation?

A. Classify if the outbreak of measles is epidemic or just sporadicB. Report the incidence into the RHUC. Determine the first day when the outbreak occurredD. Identify if it is the disease which it is reported to be

5. After the epidemiological investigation produced final conclusions, which of the following is your initial step in your operational procedure during disease outbreak?

A. Coordinate personnel from Municipal to the National levelB. Collect pertinent laboratory specimen to confirm disease causationC. Immunize nearby communities with MeaslesD. Educate the community in future prevention of similar outbreaks

6. The main concern of a public health nurse is the prevention of disease, prolonging of life and promoting physical health and efficiency through which of the following?

A. Use of epidemiological tools and vital health statisticsB. Determine the spread and occurrence of the diseaseC. Political empowerment and Socio Economic AssistanceD. Organized Community Efforts

7. In order to control a disease effectively, which of the following must first be known?

1. The conditions surrounding its occurrence2. Factors that do not favor its development3. The condition that do not surround its occurrence4. Factors that favors its development

A. 1 and 3B. 1 and 4C. 2 and 3D. 2 and 4

8. All of the following are uses of epidemiology except:

A. To study the history of health population and the rise and fall of diseaseB. To diagnose the health of the community and the condition of the peopleC. To provide summary data on health service deliveryD. To identify groups needing special attention

9. Before reporting the fact of presence of an epidemic, which of the following is of most importance to determine?

A. Are the facts complete?B. Is the disease real?C. Is the disease tangible?D. Is it epidemic or endemic?

10. An unknown epidemic has just been reported in Barangay Dekbudekbu. People said that affected person demonstrates hemorrhagic type of fever. You are designated now to plan for epidemiological investigation. Arrange the sequence of events in accordance with the correct outline plan for epidemiological investigation.

1. Report the presence of dengue2. Summarize data and conclude the final picture of epidemic3. Relate the occurrence to the population group, facilities, food supply and carriers4. Determine if the disease is factual or real5. Determine any unusual prevalence of the disease and its nature; is it epidemic, sporadic, endemic or pandemic?6. Determine onset and the geographical limitation of the disease.

11. In the occurrence of SARS and other pandemics, which of the following is the most vital role of a nurse in epidemiology?

A. Health promotionB. Disease preventionC. SurveillanceD. Casefinding

12. Measles outbreak has been reported in Barangay Bahay Toro, After conducting an epidemiological investigation you have confirmed that the outbreak is factual. You are tasked to lead a team of medical workers for operational procedure in disease outbreak. Arrange the correct sequence of events that you must do to effectively contain the disease

1. Create a final report and recommendation2. Perform nasopharyngeal swabbing to infected individuals3. Perform mass measles immunization to vulnerable groups4. Perform an environmental sanitation survey on the immediate environment5. Organize your team and Coordinate the personnels6. Educate the community on disease transmission

A. 1,2,3,4,5,6B. 6,5,4,3,2,1C. 5,6,4,2,3,1D. 5,2,3,4,6,1

13. All of the following are function of Nurse Budek in epidemiology except

20. Acasia just gave birth to Lestat, A healthy baby boy. Who are going to report the birth of Baby Lestat?

A. NurseB. MidwifeC. OB GyneD. Birth Attendant

21. In reporting the birth of Baby Lestat, where will he be registered?

A. At the Local Civil RegistrarB. In the National Statistics OfficeC. In the City Health DepartmentD. In the Field Health Services and Information System Main Office

22. Deejay, The birth attendant noticed that Lestat has low set of ears, Micrognathia, Microcephaly and a typical cat like cry. What should Deejay do?

A. Bring Lestat immediately to the nearest hospitalB. Ask his assistant to call the nearby pediatricianC. Bring Lestat to the nearest pediatric clinicD. Call a Taxi and together with Acasia, Bring Lestat to the nearest hospital

30. The major cause of mortality from 1999 up to 2002 in the Philippines are

A. Diseases of the heartB. Diseases of the vascular systemC. PneumoniasD. Tuberculosis

31. Alicia, a 9 year old child asked you “ What is the common cause of death in my age group here in the Philippines? “ The nurse is correct if he will answer

A. Pneumonia is the top leading cause of death in children age 5 to 9B. Malignant neoplasm if common in your age groupC. Probability wise, You might die due to accidentsD. Diseases of the respiratory system is the most common cause of death in children

32. In children 1 to 4 years old, which is the most common cause of death?

A. DiarrheaB. AccidentsC. PneumoniaD. Diseases of the heart

33. Working in the community as a PHN for almost 10 years, Aida knew the fluctuation in vital statistics. She knew that the most common cause of morbidity among the Filipinos is

A. Diseases of the heartB. DiarrheaC. PneumoniaD. Vascular system diseases

34. Nurse Aida also knew that most maternal deaths are caused by

A. HemorrhageB. Other Complications related to pregnancy occurring in the course of labor, delivery and puerperiumC. Hypertension complicating pregnancy, childbirth and puerperiumD. Abortion

SITUATION : Barangay PinoyBSN has the following data in year 2006

1. July 1 population : 254,3162. Livebirths : 2,2893. Deaths from maternal cause : 154. Death from CVD : 3,0295. Deaths under 1 year of age : 236. Fetal deaths : 87. Deaths under 28 days : 88. Death due to rabies : 459. Registered cases of rabies : 4510. People with pneumonia : 7911. People exposed with pneumonia : 2,59312. Total number of deaths from all causes : 10,998

The following questions refer to these data

35. What is the crude birth rate of Barangay PinoyBSN?

A. 90/100,000B. 9/100C. 90/1000D. 9/1000

36. What is the cause specific death rate from cardiovascular diseases?

A. 27/100B. 1191/100,000C. 27/100,000D. 1.1/1000

37. What is the Maternal Mortality rate of this barangay?

A. 6.55/1000B. 5.89/1000C. 1.36/1000D. 3.67/1000

38. What is the fetal death rate?

A. 3.49/1000B. 10.04/1000C. 3.14/1000D. 3.14/100,000

39. What is the attack rate of pneumonia?

A. 3.04/1000B. 7.18/1000C. 32.82/100D. 3.04/100

40. Determine the Case fatality ratio of rabies in this Barangay

A. 1/100B. 100%C. 1%D. 100/1000

41. The following are all functions of the nurse in vital statistics, which of the following is not?

A. Consolidate DataB. Collects DataC. Analyze DataD. Tabulate Data

42. The following are Notifiable diseases that needs to have a tally sheet in data reporting, Which one is not?

A. HypertensionB. BronchiolitisC. Chemical PoisoningD. Accidents

43. Which of the following requires reporting within 24 hours?

A. Neonatal tetanusB. MeaslesC. HypertensionD. Tetanus

44. Which Act declared that all communicable disease be reported to the nearest health station?

A. 1082B. 1891C. 3573D. 6675

45. In the RHU Team, Which professional is directly responsible in caring a sick person who is homebound?

A. MidwifeB. NurseC. BHWD. Physician

46. During epidemics, which of the following epidemiological function will you have to perform first?

A. Teaching the community on disease preventionB. Assessment on suspected casesC. Monitor the condition of people affectedD. Determining the source and nature of the epidemic

47. Which of the following is a POINT SOURCE epidemic?

A. Dengue H.FB. MalariaC. Contaminated Water SourceD. Tuberculosis

48. All but one is a characteristic of a point source epidemic, which one is not?

A. The spread of the disease is caused by a common vehicleB. The disease is usually caused by contaminated foodC. There is a gradual increase of casesD. Epidemic is usually sudden

49. The only Microorganism monitored in cases of contaminated water is

50. Dengue increase in number during June, July and August. This pattern is called

A. EpidemicB. EndemicC. CyclicalD. Secular

SITUATION : Field health services and information system provides summary data on health service delivery and selected program from the barangay level up to the national level. As a nurse, you should know the process on how these information became processed and consolidated.

51. All of the following are objectives of FHSIS Except

A. To complete the clinical picture of chronic disease and describe their natural historyB. To provide standardized, facility level data base which can be accessed for more in depth studiesC. To minimize recording and reporting burden allowing more time for patient care and promotive activitiesD. To ensure that data reported are useful and accurate and are disseminated in a timely and easy to use fashion

52. What is the fundamental block or foundation of the field health service information system?

A. Nurses need not to go back to FTR to monitor treatment and services to beneficiaries thus saving time and effortB. Help monitor service rendered to clients in generalC. Facilitate monitoring and supervision of servicesD. Facilitates easier reporting

54. Which of the following is used to monitor particular groups that are qualified as eligible to a certain program of the DOH?

65. Mang Raul entered the health center complaining of fatigue and frequent syncope. You assessed Mang Raul and found out that he is severely malnourished and anemic. What record should you get first to document these findings?

68. The nurse uses the FHSIS Record system incorrectly when she found out that

A. She go to the individual or FTR for entry confirmation in the Tally/Report SummaryB. She refer to other sources for completing monthly and quarterly reportsC. She records diarrhea in the Tally sheet/Report form with a code FHSIS/M-1D. She records a Child who have frequent diarrhea in TCL : Under Five

69. The BHS Is the lowest level of reporting unit in FHSIS. A BHS can be considered a reporting unit if all of the following are met except

A. It renders service to 3 barangaysB. There is a midwife the regularly renders service to the areaC. The BHS Have no mother BHSD. It should be a satellite BHS

70. Data submitted to the PHO is processed using what type of technology?

72. As a newly appointed PHN instructed to organize Barangay Baritan, Which of the following is your initial step in organizing the community for initial action?

A. Study the Barangay Health statistics and recordsB. Make a courtesy call to the Barangay CaptainC. Meet with the Barangay Captain to make plansD. Make a courtesy call to the Municipal Mayor

73. Preparatory phase is the first phase in organizing the community. Which of the following is the initial step in the preparatory phase?

A. Area selectionB. Community profilingC. Entry in the communityD. Integration with the people

74. the most important factor in determining the proper area for community organizing is that this area should

A. Be already adopted by another organizationB. Be able to finance the projectsC. Have problems and needs assistanceD. Have people with expertise to be developed as leaders

75. Which of the following dwelling place should the Nurse choose when integrating with the people?

A. A simple house in the border of Barangay Baritan and San PabloB. A simple house with fencing and gate located in the center of Barangay BaritanC. A modest dwelling place where people will not hesitate to enterD. A modest dwelling place where people will not hesitate to enter located in the center of the community

76. In choosing a leader in the community during the Organizational phase, Which among these people will you choose?

A. Miguel Zobel, 50 years old, Rich and FamousB. Rustom, 27 years old, ActorC. Mang Ambo, 70, Willing to work for the desired changeD. Ricky, 30 years old, Influential and Willing to work for the desired change

77. Which type of leadership style should the leaders of the community practice?

A. AutocraticB. DemocraticC. Laissez FaireD. Consultative

78. Setting up Committee on Education and Training is in what phase of COPAR?

80. The people named the community health workers based on the collective decision in accordance with the set criteria. Before they can be trained by the Nurse, The Nurse must first

A. Make a lesson planB. Set learning goals and objectiveC. Assess their learning needsD. Review materials needed for training

81. Nurse Budek wrote a letter to PCSO asking them for assistance in their feeding programs for the community’s nutrition and health projects. PCSO then approved the request and gave Budek 50,000 Pesos and a truckload of rice, fruits and vegetables. Which phase of COPAR did Budek utilized?

82. Ideally, How many years should the Nurse stay in the community before he can phase out and be assured of a Self Reliant community?

A. 5 yearsB. 10 yearsC. 1 yearD. 6 months

83. Major discussion in community organization are made by

A. The nurseB. The leaders of each committeeC. The entire groupD. Collaborating Agencies

84. The nurse should know that Organizational plan best succeeds when

1. People sees its values2. People think its antagonistic professionally3. It is incompatible with their personal beliefs4. It is compatible with their personal beliefs

A. 1 and 3B. 2 and 4C. 1 and 2D. 1 and 4

85. Nurse Budek made a proposal that people should turn their backyard into small farming lots to plant vegetables and fruits. He specified that the objective is to save money in buying vegetables and fruits that tend to have a fluctuating and cyclical price. Which step in Community organizing process did he utilized?

86. One of the critical steps in COPAR is becoming one with the people and understanding their culture and lifestyle. Which critical step in COPAR will the Nurse try to immerse himself in the community?

A. IntegrationB. Social MobilizationC. Ground WorkD. Mobilization

87. The Actual exercise of people power occurs during when?

A. IntegrationB. Social MobilizationC. Ground WorkD. Mobilization

88. Which steps in COPAR trains indigenous and informal leaders?

A. Ground WorkB. MobilizationC. Core Group formationD. Integration

89. As a PHN, One of your role is to organize the community. Nurse Budek knows that the purposes of community organizing are

1. Move the community to act on their own problems2. Make people aware of their own problems3. Enable the nurse to solve the community problems4. Offer people means of solving their own problems

A. 1,2,3B. 1,2,3,4C. 1,2D. 1,2,4

90. This is considered the first act of integrating with the people. This gives an in depth participation in community health problems and needs.

A. Residing in the area of assignmentB. Listing down the name of person to contact for courtesy callC. Gathering initial information about the communityD. Preparing Agenda for the first meeting

SITUATION : Health education is the process whereby knowledge, attitude and practice of people are changed to improve individual, family and community health.

91. Which of the following is the correct sequence in health education?

1. Information2. Communication3. Education

A. 1,2,3B. 3,2,1C. 1,3,2D. 3,1,2

92. The health status of the people is greatly affected and determined by which of the following?

93. Nurse Budek is conducting a health teaching to Agnesia, 50 year old breast cancer survivor needing rehabilitative measures. He knows that health education is effective when

A. Agnesia recites the procedure and instructions perfectlyB. Agnesia’s behavior and outlook in life was changed positivelyC. Agnesia gave feedback to Budek saying that she understood the instructionD. Agnesia requested a written instruction from Budek

94. Which of the following is true about health education?

A. It helps people attain their health through the nurse’s sole effortsB. It should not be flexibleC. It is a fast and mushroom like processD. It is a slow and continuous process

95. Which of the following factors least influence the learning readiness of an adult learner?

A. The individuals stage of developmentB. Ability to concentrate on information to be learnedC. The individual’s psychosocial adaptation to his illnessD. The internal impulses that drive the person to take action

96. Which of the following is the most important condition for diabetic patients to learn how to control their diet?

A. Use of pamphlets and other materials during instructionsB. Motivation to be symptom freeC. Ability of the patient to understand teaching instructionD. Language used by the nurse

97. An important skill that a primigravida has to acquire is the ability to bathe her newborn baby and clean her breast if she decides to breastfeed her baby, Which of the following learning domain will you classify the above goals?

A. PsychomotorB. CognitiveC. AffectiveD. Attitudinal

98. When you prepare your teaching plan for a group of hypertensive patients, you first formulate your learning objectives. Which of the following steps in the nursing process corresponds to the writing of the learning objectives?

A. PlanningB. ImplementingC. EvaluationC. Assessment

99. Rose, 50 years old and newly diagnosed diabetic patient must learn how to inject insulin. Which of the following physical attribute is not in anyway related to her ability to administer insulin?

A. StrengthB. CoordinationC. DexterityD. Muscle Built

100. Appearance and disposition of clients are best observed initially during which of the following situation?

SITUATION : Epidemiology and Vital statistics is a very important tool that a nurse could use in controlling the spread of disease in the community and at the same time, surveying the impact of the disease on the population and prevent it’s future occurrence.

1. It is concerned with the study of factors that influence the occurrence and distribution of diseases, defects, disability or death which occurs in groups or aggregation of individuals.

A. EpidemiologyB. DemographicsC. Vital StatisticsD. Health Statistics

2. Which of the following is the backbone in disease prevention?

A. EpidemiologyB. DemographicsC. Vital StatisticsD. Health Statistics

3. Which of the following type of research could show how community expectations can result in the actual provision of services?

4. An outbreak of measles has been reported in Community A. As a nurse, which of the following is your first action for an Epidemiological investigation?

A. Classify if the outbreak of measles is epidemic or just sporadicB. Report the incidence into the RHUC. Determine the first day when the outbreak occurredD. Identify if it is the disease which it is reported to be

5. After the epidemiological investigation produced final conclusions, which of the following is your initial step in your operational procedure during disease outbreak?

A. Coordinate personnel from Municipal to the National levelB. Collect pertinent laboratory specimen to confirm disease causationC. Immunize nearby communities with MeaslesD. Educate the community in future prevention of similar outbreaks

6. The main concern of a public health nurse is the prevention of disease, prolonging of life and promoting physical health and efficiency through which of the following?

A. Use of epidemiological tools and vital health statisticsB. Determine the spread and occurrence of the diseaseC. Political empowerment and Socio Economic AssistanceD. Organized Community Efforts

7. In order to control a disease effectively, which of the following must first be known?

1. The conditions surrounding its occurrence2. Factors that do not favor its development3. The condition that do not surround its occurrence4. Factors that favors its development

A. 1 and 3B. 1 and 4C. 2 and 3D. 2 and 4

8. All of the following are uses of epidemiology except:

A. To study the history of health population and the rise and fall of diseaseB. To diagnose the health of the community and the condition of the peopleC. To provide summary data on health service deliveryD. To identify groups needing special attention

9. Before reporting the fact of presence of an epidemic, which of the following is of most importance to determine?

A. Are the facts complete?B. Is the disease real?C. Is the disease tangible?D. Is it epidemic or endemic?

10. An unknown epidemic has just been reported in Barangay Dekbudekbu. People said that affected person demonstrates hemorrhagic type of fever. You are designated now to plan for epidemiological investigation. Arrange the sequence of events in accordance with the correct outline plan for epidemiological investigation.

1. Report the presence of dengue2. Summarize data and conclude the final picture of epidemic3. Relate the occurrence to the population group, facilities, food supply and carriers4. Determine if the disease is factual or real5. Determine any unusual prevalence of the disease and its nature; is it epidemic, sporadic, endemic or pandemic?6. Determine onset and the geographical limitation of the disease.

11. In the occurrence of SARS and other pandemics, which of the following is the most vital role of a nurse in epidemiology?

A. Health promotionB. Disease preventionC. SurveillanceD. Casefinding

12. Measles outbreak has been reported in Barangay Bahay Toro, After conducting an epidemiological investigation you have confirmed that the outbreak is factual. You are tasked to lead a team of medical workers for operational procedure in disease outbreak. Arrange the correct sequence of events that you must do to effectively contain the disease

1. Create a final report and recommendation2. Perform nasopharyngeal swabbing to infected individuals3. Perform mass measles immunization to vulnerable groups4. Perform an environmental sanitation survey on the immediate environment5. Organize your team and Coordinate the personnels6. Educate the community on disease transmission

A. 1,2,3,4,5,6B. 6,5,4,3,2,1C. 5,6,4,2,3,1D. 5,2,3,4,6,1

13. All of the following are function of Nurse Budek in epidemiology except

20. Acasia just gave birth to Lestat, A healthy baby boy. Who are going to report the birth of Baby Lestat?

A. NurseB. MidwifeC. OB GyneD. Birth Attendant

21. In reporting the birth of Baby Lestat, where will he be registered?

A. At the Local Civil RegistrarB. In the National Statistics OfficeC. In the City Health DepartmentD. In the Field Health Services and Information System Main Office

22. Deejay, The birth attendant noticed that Lestat has low set of ears, Micrognathia, Microcephaly and a typical cat like cry. What should Deejay do?

A. Bring Lestat immediately to the nearest hospitalB. Ask his assistant to call the nearby pediatricianC. Bring Lestat to the nearest pediatric clinicD. Call a Taxi and together with Acasia, Bring Lestat to the nearest hospital

30. The major cause of mortality from 1999 up to 2002 in the Philippines are

A. Diseases of the heartB. Diseases of the vascular systemC. PneumoniasD. Tuberculosis

31. Alicia, a 9 year old child asked you “ What is the common cause of death in my age group here in the Philippines? “ The nurse is correct if he will answer

A. Pneumonia is the top leading cause of death in children age 5 to 9B. Malignant neoplasm if common in your age groupC. Probability wise, You might die due to accidentsD. Diseases of the respiratory system is the most common cause of death in children

32. In children 1 to 4 years old, which is the most common cause of death?

A. DiarrheaB. AccidentsC. PneumoniaD. Diseases of the heart

33. Working in the community as a PHN for almost 10 years, Aida knew the fluctuation in vital statistics. She knew that the most common cause of morbidity among the Filipinos is

A. Diseases of the heartB. DiarrheaC. PneumoniaD. Vascular system diseases

34. Nurse Aida also knew that most maternal deaths are caused by

A. HemorrhageB. Other Complications related to pregnancy occurring in the course of labor, delivery and puerperiumC. Hypertension complicating pregnancy, childbirth and puerperiumD. Abortion

SITUATION : Barangay PinoyBSN has the following data in year 2006

1. July 1 population : 254,3162. Livebirths : 2,2893. Deaths from maternal cause : 154. Death from CVD : 3,0295. Deaths under 1 year of age : 236. Fetal deaths : 87. Deaths under 28 days : 88. Death due to rabies : 459. Registered cases of rabies : 4510. People with pneumonia : 7911. People exposed with pneumonia : 2,59312. Total number of deaths from all causes : 10,998

The following questions refer to these data

35. What is the crude birth rate of Barangay PinoyBSN?

A. 90/100,000B. 9/100C. 90/1000D. 9/1000

36. What is the cause specific death rate from cardiovascular diseases?

A. 27/100B. 1191/100,000C. 27/100,000D. 1.1/1000

37. What is the Maternal Mortality rate of this barangay?

A. 6.55/1000B. 5.89/1000C. 1.36/1000D. 3.67/1000

38. What is the fetal death rate?

A. 3.49/1000B. 10.04/1000C. 3.14/1000D. 3.14/100,000

39. What is the attack rate of pneumonia?

A. 3.04/1000B. 7.18/1000C. 32.82/100D. 3.04/100

40. Determine the Case fatality ratio of rabies in this Barangay

A. 1/100B. 100%C. 1%D. 100/1000

41. The following are all functions of the nurse in vital statistics, which of the following is not?

A. Consolidate DataB. Collects DataC. Analyze DataD. Tabulate Data

42. The following are Notifiable diseases that needs to have a tally sheet in data reporting, Which one is not?

A. HypertensionB. BronchiolitisC. Chemical PoisoningD. Accidents

43. Which of the following requires reporting within 24 hours?

A. Neonatal tetanusB. MeaslesC. HypertensionD. Tetanus

44. Which Act declared that all communicable disease be reported to the nearest health station?

A. 1082B. 1891C. 3573D. 6675

45. In the RHU Team, Which professional is directly responsible in caring a sick person who is homebound?

A. MidwifeB. NurseC. BHWD. Physician

46. During epidemics, which of the following epidemiological function will you have to perform first?

A. Teaching the community on disease preventionB. Assessment on suspected casesC. Monitor the condition of people affectedD. Determining the source and nature of the epidemic

47. Which of the following is a POINT SOURCE epidemic?

A. Dengue H.FB. MalariaC. Contaminated Water SourceD. Tuberculosis

48. All but one is a characteristic of a point source epidemic, which one is not?

A. The spread of the disease is caused by a common vehicleB. The disease is usually caused by contaminated foodC. There is a gradual increase of casesD. Epidemic is usually sudden

49. The only Microorganism monitored in cases of contaminated water is

50. Dengue increase in number during June, July and August. This pattern is called

A. EpidemicB. EndemicC. CyclicalD. Secular

SITUATION : Field health services and information system provides summary data on health service delivery and selected program from the barangay level up to the national level. As a nurse, you should know the process on how these information became processed and consolidated.

51. All of the following are objectives of FHSIS Except

A. To complete the clinical picture of chronic disease and describe their natural historyB. To provide standardized, facility level data base which can be accessed for more in depth studiesC. To minimize recording and reporting burden allowing more time for patient care and promotive activitiesD. To ensure that data reported are useful and accurate and are disseminated in a timely and easy to use fashion

52. What is the fundamental block or foundation of the field health service information system?

A. Nurses need not to go back to FTR to monitor treatment and services to beneficiaries thus saving time and effortB. Help monitor service rendered to clients in generalC. Facilitate monitoring and supervision of servicesD. Facilitates easier reporting

54. Which of the following is used to monitor particular groups that are qualified as eligible to a certain program of the DOH?

65. Mang Raul entered the health center complaining of fatigue and frequent syncope. You assessed Mang Raul and found out that he is severely malnourished and anemic. What record should you get first to document these findings?

68. The nurse uses the FHSIS Record system incorrectly when she found out that

A. She go to the individual or FTR for entry confirmation in the Tally/Report SummaryB. She refer to other sources for completing monthly and quarterly reportsC. She records diarrhea in the Tally sheet/Report form with a code FHSIS/M-1D. She records a Child who have frequent diarrhea in TCL : Under Five

69. The BHS Is the lowest level of reporting unit in FHSIS. A BHS can be considered a reporting unit if all of the following are met except

A. It renders service to 3 barangaysB. There is a midwife the regularly renders service to the areaC. The BHS Have no mother BHSD. It should be a satellite BHS

70. Data submitted to the PHO is processed using what type of technology?

72. As a newly appointed PHN instructed to organize Barangay Baritan, Which of the following is your initial step in organizing the community for initial action?

A. Study the Barangay Health statistics and recordsB. Make a courtesy call to the Barangay CaptainC. Meet with the Barangay Captain to make plansD. Make a courtesy call to the Municipal Mayor

73. Preparatory phase is the first phase in organizing the community. Which of the following is the initial step in the preparatory phase?

A. Area selectionB. Community profilingC. Entry in the communityD. Integration with the people

74. the most important factor in determining the proper area for community organizing is that this area should

A. Be already adopted by another organizationB. Be able to finance the projectsC. Have problems and needs assistanceD. Have people with expertise to be developed as leaders

75. Which of the following dwelling place should the Nurse choose when integrating with the people?

A. A simple house in the border of Barangay Baritan and San PabloB. A simple house with fencing and gate located in the center of Barangay BaritanC. A modest dwelling place where people will not hesitate to enterD. A modest dwelling place where people will not hesitate to enter located in the center of the community

76. In choosing a leader in the community during the Organizational phase, Which among these people will you choose?

A. Miguel Zobel, 50 years old, Rich and FamousB. Rustom, 27 years old, ActorC. Mang Ambo, 70, Willing to work for the desired changeD. Ricky, 30 years old, Influential and Willing to work for the desired change

77. Which type of leadership style should the leaders of the community practice?

A. AutocraticB. DemocraticC. Laissez FaireD. Consultative

78. Setting up Committee on Education and Training is in what phase of COPAR?

80. The people named the community health workers based on the collective decision in accordance with the set criteria. Before they can be trained by the Nurse, The Nurse must first

A. Make a lesson planB. Set learning goals and objectiveC. Assess their learning needsD. Review materials needed for training

81. Nurse Budek wrote a letter to PCSO asking them for assistance in their feeding programs for the community’s nutrition and health projects. PCSO then approved the request and gave Budek 50,000 Pesos and a truckload of rice, fruits and vegetables. Which phase of COPAR did Budek utilized?

82. Ideally, How many years should the Nurse stay in the community before he can phase out and be assured of a Self Reliant community?

A. 5 yearsB. 10 yearsC. 1 yearD. 6 months

83. Major discussion in community organization are made by

A. The nurseB. The leaders of each committeeC. The entire groupD. Collaborating Agencies

84. The nurse should know that Organizational plan best succeeds when

1. People sees its values2. People think its antagonistic professionally3. It is incompatible with their personal beliefs4. It is compatible with their personal beliefs

A. 1 and 3B. 2 and 4C. 1 and 2D. 1 and 4

85. Nurse Budek made a proposal that people should turn their backyard into small farming lots to plant vegetables and fruits. He specified that the objective is to save money in buying vegetables and fruits that tend to have a fluctuating and cyclical price. Which step in Community organizing process did he utilized?

86. One of the critical steps in COPAR is becoming one with the people and understanding their culture and lifestyle. Which critical step in COPAR will the Nurse try to immerse himself in the community?

A. IntegrationB. Social MobilizationC. Ground WorkD. Mobilization

87. The Actual exercise of people power occurs during when?

A. IntegrationB. Social MobilizationC. Ground WorkD. Mobilization

88. Which steps in COPAR trains indigenous and informal leaders?

A. Ground WorkB. MobilizationC. Core Group formationD. Integration

89. As a PHN, One of your role is to organize the community. Nurse Budek knows that the purposes of community organizing are

1. Move the community to act on their own problems2. Make people aware of their own problems3. Enable the nurse to solve the community problems4. Offer people means of solving their own problems

A. 1,2,3B. 1,2,3,4C. 1,2D. 1,2,4

90. This is considered the first act of integrating with the people. This gives an in depth participation in community health problems and needs.

A. Residing in the area of assignmentB. Listing down the name of person to contact for courtesy callC. Gathering initial information about the communityD. Preparing Agenda for the first meeting

SITUATION : Health education is the process whereby knowledge, attitude and practice of people are changed to improve individual, family and community health.

91. Which of the following is the correct sequence in health education?

1. Information2. Communication3. Education

A. 1,2,3B. 3,2,1C. 1,3,2D. 3,1,2

92. The health status of the people is greatly affected and determined by which of the following?

93. Nurse Budek is conducting a health teaching to Agnesia, 50 year old breast cancer survivor needing rehabilitative measures. He knows that health education is effective when

A. Agnesia recites the procedure and instructions perfectlyB. Agnesia’s behavior and outlook in life was changed positivelyC. Agnesia gave feedback to Budek saying that she understood the instructionD. Agnesia requested a written instruction from Budek

94. Which of the following is true about health education?

A. It helps people attain their health through the nurse’s sole effortsB. It should not be flexibleC. It is a fast and mushroom like processD. It is a slow and continuous process

95. Which of the following factors least influence the learning readiness of an adult learner?

A. The individuals stage of developmentB. Ability to concentrate on information to be learnedC. The individual’s psychosocial adaptation to his illnessD. The internal impulses that drive the person to take action

96. Which of the following is the most important condition for diabetic patients to learn how to control their diet?

A. Use of pamphlets and other materials during instructionsB. Motivation to be symptom freeC. Ability of the patient to understand teaching instructionD. Language used by the nurse

97. An important skill that a primigravida has to acquire is the ability to bathe her newborn baby and clean her breast if she decides to breastfeed her baby, Which of the following learning domain will you classify the above goals?

A. PsychomotorB. CognitiveC. AffectiveD. Attitudinal

98. When you prepare your teaching plan for a group of hypertensive patients, you first formulate your learning objectives. Which of the following steps in the nursing process corresponds to the writing of the learning objectives?

A. PlanningB. ImplementingC. EvaluationC. Assessment

99. Rose, 50 years old and newly diagnosed diabetic patient must learn how to inject insulin. Which of the following physical attribute is not in anyway related to her ability to administer insulin?

A. StrengthB. CoordinationC. DexterityD. Muscle Built

100. Appearance and disposition of clients are best observed initially during which of the following situation?

1. A client with myasthenia gravis reports the occurrence of difficulty chewing. The physician prescribes pyridostigmine bromide (Mestinon) to increase muscle strength for this activity. The nurse instructs the client to take the medication at what time, in relation to meals?

a. after dinner daily when most fatiguedb. before breakfast dailyc. as soon as arising in the morningd. thirty minutes before each meal

2. A client is advised to take senna (Senokot) for the treatment of constipation asks the nurse how this medication works. The nurse responds knowing that it:

a. accumulates water in the stool and increases peristalsisb. stimulates the vagus nervec. coats the bowel walld. adds fiber and bulk to the stool

3. A client is receiving heparin sodium by continuous intravenous infusion. The nurse monitors the client for which adverse effect of this therapy?

4. A client is being treated for acute congestive heart failure (CHF) and the client’s vital signs are as follows: BP 85/50 mm Hg; pulse, 96 bpm; respirations, 26 cpm. The physician prescribes digoxin (Lanoxin). To evaluate a therapeutic effectiveness of this medication, the nurse would expect which of the following changes in the client’s vital signs?

7. A clinic nurse is performing assessment on a client who is being seen in the clinic for the first time. When asking about the client’s medication history, the client tells the nurse that he takes nateglinide (Starlix). The nurse then questions the client about the presence of which disorder that is treated with this medication?

8. A client who is taking rifampin (Rifadin) as part of the medication regimen for the treatment of tuberculosis calls the clinic nurse and reports that her urine is a red-orange color. The nurse tells the client to:

a. come to the clinic to provide a urine sampleb. stop the medication until further instructions are given by the physicianc. take the medication dose with an antacid to prevent this adverse effectd. expect a red-orange color in urine, feces, sweat, sputum, and tears as a harmless side effect

9. A nurse is caring for a client with a tracheostomy that has been diagnosed with a respiratory infection. The client is receiving vancomycin hydrochloride (Vancocin) 500 mg intravenously every 12 hours. Which of the following would indicate to the nurse that the client is experiencing an adverse effect of the medication?

a. decreased hearing acuityb. photophobiac. hypotensiond. bradycardia

10. A nurse is caring for a client with a diagnosis of metastatic breast carcinoma who is receiving tamoxifen citrate (Nolvadex) 10 mg orally twice daily. Which of the following would indicate to the nurse that the client is experiencing a side effect related to the medication?

a. hypetensionb. diarrheac. nose bleedsd. vaginal bleeding

11. A client has just been given a prescription for diphenoxylate with atropine (Lomotil). The nurse teaches the client which of the following about the use of this medication?

a. drooling may occur while taking this medicationb. irritability may occur while taking this medicationc. this medication contains a habit-forming ingredientd. take the medication with a laxative of choice

12. A nurse is gathering data from client about the client’s medication history and notes that the client is taking tolterodine tartrate (Detrol LA). The nurse determines that the client is taking the medication to treat which disorder?

13. A client has an order to receive psyllium (Metamucil) daily. The nurse administers this medication with:

a. a multivitamin and mineral supplementb. a dose of an antacidc. applesauced. eight ounces of liquid

14. A nurse is teaching a client taking cyclosporine (Sandimmune) after renal transplant about medication information. The nurse tells the client to be especially alert for:

a. signs of infectionb. hypotensionc. weight lossd. hair loss

15. A nurse reinforces dietary instruction for the client receiving spironolactone (Aldactone). Which food would the nurse instruct the client to avoid while taking this medication?

a. crackersb. shrimpc. apricotsd. popcorn

16. Oral lactulose (Chronulac) is prescribed for the client with a hepatic disorder and the nurse provides instructions to the client regarding this medication. Which statement by the client indicates a need for further instructions?

a. “I need to take the medication with water’”b. “ I need to increase fluid intake while taking the medication”c. “ I need to increase fiber in the diet”d. “I need to notify the physician of nausea occurs”

17. A home care nurse provides instructions to a client taking digoxin (Lanoxin) 0.25 mg daily. Which statement by the client indcates a need for further instructions?

a. “I will take my prescribed antacid if I become nauseated”b. “It is important to have my blood drawn when prescribed”c. “I will check my pulse before I take my medication”d. “I will carry a medication identification card with me”

18. A client with anxiety disorder is taking buspirone (BuSpar) and tells the nurse that it is difficult to swallow the tablets. The nurse tells the client to:

a. dissolve the tablet in a cup of coffeeb. crush the tablet before taking itc. call the physician for a change in medicationd. mix the tablet uncrushed in custard

19. A nurse is caring for a child with CHF provides instructions to the parents regarding the administration of digoxin (Lanoxin). Which statement by the mother indicates a need for further instructions?

a. “If my child vomits after I give the medication, I will not repeat the dose”b. “I will check my child’s pulse before giving the medication”c. “I will check the dose of the medication with my husband before I give the medication”d. “I will mix the medication with food”

20. A nurse provides instructions to a client who will begin an oral contraceptives. Which statement by the client indicates the need for further instructions?

a. “I will take one pill daily at the same time every day”b. “I will not need to use an additional birth control method once I start these pills”c. “If I miss a pill I need to take it as soon as I remember”d. “If I miss two pills I will take them both as soon as I remember and I will take two pills the next day also”

21. A nurse provides instructions to a client taking clorazepate (Tranxene) for management of an anxiety disorder. The nurse tells the client that:

a. drowsiness is a side effect that usually disappears with continued therapyb. if dizziness occurs, call the physicianc. smoking increases the effectiveness of the medicationd. if gastrointestinal disturbances occur, discontinue the medication

22. A client with Parkinson’s disease has begun therapy with levodopa (L-dopa). The nurse determines that the client understands the action of the medication if the client verbalizes that results may not be apparent for:

a. 24 hoursb. Two to three daysc. One weekd. Two to three weeks

23. A nurse in a physician’s office is reviewing the results of a client’s phenytoin (Dilantin) level drawn that morning. The nurse determines that the client has a therapeutic drug level if the client’s result was:

a. 3 mcg/mlb. 8 mcg/mlc. 15 mcg/mld. 24mcg/ml

24. A nurse is caring for a client with a genitourinary tract infection receiving amoxicillin (Augmentin) 500 mg every 8 hours. Which of the following would indicate to the nurse that the client is experiencing an adverse effect related to the medication?

a. hypertensionb. nauseac. headached. watery diarrhea

25. A nurse is caring for a client with glaucoma who receives a daily dose of acetazolamide (Diamox). Which of the following would indicate to the nurse that the client is experiencing an adverse effect of the medication?

26. A nurse is caring for a client with a diagnosis of meningitis who is receiving amphotericin B (Fungizone) intravenously. Which of the following would indicate to the nurse that the client is experiencing an adverse effect related to the medication?

a. nauseab. decreased urinary outputc. muscle weaknessd. confusion

27. A nurse has formulated a nursing diagnosis of Disturbed Body Image for a client who is taking spironolactone (Aldactone). The nurse based this diagnosis on assessment of which side effect of the medication?

a. edemab. weight gainc. excitabilityd. decreased libido

28. A nurse is caring for the client with a history of mild heart failure who is receiving diltiazem hydrochloride (Cardizem) for hypertension. The nurse would assess the client for:

29. The wound of a client with an extensive burn injury is being treated with the application of silver sulfadiazine (Silvadene). Which symptom would indicate to the nurse that the client is experiencing a side effect related to systemic absorption?

a. pain at the wound siteb. burning and itching at the wound sitec. a localized rashd. photosensitivity

30. A nurse is caring for a client with a diagnosis of rheumatoid arthritis who is receiving sulindac (Clinoril) 150 mg po twice daily. Which finding would indicate to the nurse that the client is experiencing a side effect related to the medication?

a. diarrheab. photophobiac. feverd. tingling in the extremities

31. The nurse notes that the client is receiving filgrastim (Neupogen). The nurse checks which of the following to determine medication effectiveness?

32. A nurse is monitoring a client who is taking fluphenazine decanoate (Prolixin) for signs of leucopenia. Which finding indicates a sign of this blood dyscrasia?

a. blurred visionb. constipationc. sore throatd. dry mouth

33. A nurse is administering amphotericin B (Fungizone) to a client intravenously to treat a fungal infection. The nurse monitors the result of which electrolyte study during therapy with this medication?

a. sodiumb. potassiumc. calciumd. chloride

34. A clinic nurse asks a client with diabetes mellitus being seen in the clinic for the first time to list the medications that she is taking. Which combination of medications taken by the client should the nurse report to the physician?

35. A nurse is caring for a client receiving streptogramin (Synercid) by intravenous intermittent infusion for the treatment of a bone infection develops diarrhea. Which nursing action would the nurse implement?

42. Auranofin (Ridaura) is prescribed for a client with rheumatoid arthritis, and the nurse monitors the client for signs of an adverse effect related to the medication. Which of the following indicates an adverse effect?

a. nauseab. diarrheac. anorexiad. proteinuria

43. A nurse is providing instructions to a client regarding quinapril hydrochloride (Accupril). The nurse tells the client:

a. to take the medication with food onlyb. to rise slowly from a lying to a sitting positionc. to discontinue the medication if nausea occursd. that a therapeutic effect will be noted immediatedly

44. A female client tells the clinic nurse that her skin is very dry and irritated. Which product would the nurse suggest that the client apply to the dry skin?

a. glycerin emollientb. aspercreamec. myoflexd. acetic acid solution

45. A client with advanced cirrhosis of the liver is not tolerating protein well, as eveidenced by abnormal laboratory values. The nurse anticipates that which of the following medications will be prescribed for the client?

48. A nurse has taught a client taking a xanthine bronchodilator about beverages to avoid. The nurse determines that the client understands the information if the client chooses which of the following beverages from the dietary menu?

a. chocolate milkb. cranberry juicec. coffeed. cola

49. A client with histoplasmosis has an order for ketoconazole (Nizoral). The nurse teaches the client to do which of the following while taking this medication?

a. take the medication on an empty stomachb. take the medication with an antacidc. avoid exposure to sunlightd. limit alcohol to 2 ounces per day

50. A nurse is preparing the client’s morning NPH insulin dose and notices a clumpy precipitate inside the insulin vial. The nurse should:

a. draw up and administer the doseb. shake the vial in an attempt to disperse the clumpsc. draw the dose from a new viald. warm the bottle under running water to dissolve the clump